Individual provider · Type 1 NPI

Kathi Jo Travaille, CRDA

Dental Assistant · Mankato, MN

NPI number 1255456604 Active

Practice location

304 Belle Ave
Mankato, MN 56001-5250

Call (507) 344-8698 Map

Fax (507) 344-8759

Mailing address

605 Hillcrest Ave Ste 130
Owatonna, MN 55060-3680

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XA9553 (MN)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

23 other providers at this address

About NPI 1255456604

Kathi Jo Travaille, CRDA's National Provider Identifier is 1255456604, issued on Mar 21, 2007. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Mankato, MN. The record was last updated on Jul 8, 2007.