NPI 1255456604
Kathi Jo Travaille, CRDA
Practice location
- Address
- 304 Belle Ave, Mankato, MN 56001-5250
- Phone
- (507) 344-8698
- Fax
- (507) 344-8759
- Mailing address
- 605 Hillcrest Ave STE 130, Owatonna, MN 55060-3680
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1255456604
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Mar 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.