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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATRESA RENEE SIMS

Active Sole Proprietor

LATRESA RENEE SIMS is a Podiatric Surgery healthcare provider located in PORTAGE, Indiana. NPI 1366041121 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · PORTAGE, IN

Registration Details

NPI Number
1366041121
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2020 (5.8255181220495 yrs)
Last Updated
Mar 4, 2026
Sole Proprietor
Yes

Practice Information

Address
1777 ARMSTRONG ST. SUITE C.
PORTAGE, IN, 46368
Browse IN providers · Browse ZIP 46368
Phone
2198419166
Primary Specialty
Podiatric Surgery
3747A0650X
Additional Specialty
Podiatric Surgery

Other Podiatric Surgery Providers in PORTAGE, IN

Name Credential NPI
MR. WILLIE CARSON SR. 1174311674
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.