Individual ProviderKathryn Marie RiedeselSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address102 Profit Dr, Victoria, TX 77901-7346(361) 788-9509PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Marie Riedesel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1659253854Provider TypeIndividualFull NameRiedesel, Kathryn MarieGenderFemaleSole ProprietorYesEnumeration Date7/21/2025Last Updated7/21/2025Contact InformationPractice LocationPractice Address102 Profit Dr, Victoria, TX 77901-7346Phone(361) 788-9509FaxUnlisted FaxMailing LocationMailing Address41 E Grouse Rd, Victoria, TX 77905-0516PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense122224Texas