Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kathi Jo Travaille, CRDA

Individual provider Dental Assistant · NPI 1255456604

Mrs. Kathi Jo Travaille, CRDA is a Dental Assistant in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

304 Belle Ave
Mankato, MN 56001-5250
Phone: (507) 344-8698
Fax: (507) 344-8759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence A9553 (MN)

Record details

NPI number1255456604
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRDA
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 8, 2007