Thomas Jack Sampson
Thomas Jack Sampson is a Nutritionist in Menomonie, Wisconsin. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2021 Broadway St SMenomonie, WI 54751-3950
Phone: (715) 308-3837
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutritionist (primary) | Taxonomy 133N00000X · Licence 1124661 |
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Record details
| NPI number | 1861019804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2020 |
| Last updated in NPPES | June 25, 2020 |
| Certification date | June 25, 2020 |
| Mailing address | 2021 Broadway St S, Menomonie, WI 54751-3950 |