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

Thomas Jack Sampson

Individual provider Nutritionist · NPI 1861019804

Thomas Jack Sampson is a Nutritionist in Menomonie, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2021 Broadway St S
Menomonie, WI 54751-3950
Phone: (715) 308-3837
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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

Record details

NPI number1861019804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020