Mrs. Kathi Jo Travaille
Dental Assistant
304 Belle Ave
Mankato
, Minnesota 56001-5250
Mrs. Kathi Jo Travaille
Dental Assistant
304 Belle Ave
Mankato
, Minnesota 56001-5250
(507) 451-0291
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Kathi Jo Travaille
- 605 Hillcrest Ave Ste 130
- Owatonna, MN
- Zip : 55060-3680
- Fax : (507) 451-0291
- Phone : (507) 451-0290
Second Address
- Mrs. Kathi Jo Travaille
- 304 Belle Ave
- Mankato, MN
- Zip : 56001-5250
- Fax : (507) 344-8759
- Phone : (507) 344-8698
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | A9553 | MN |
National Provider Identifier
| NPI | 1255456604 |
|---|---|
| Provider Name | Mrs. Kathi Jo Travaille |
| First Address | Owatonna, MN 55060-3680 |
| Second Address | Mankato, MN 56001-5250 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.