Provider Demographics
NPI:1437726676
Name:TFL PROVIDER NETWORK LLC
Entity Type:Organization
Organization Name:TFL PROVIDER NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDRIC
Authorized Official - Last Name:GREGOIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-840-1323
Mailing Address - Street 1:3996 RED CEDAR DR UNIT A6
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-8066
Mailing Address - Country:US
Mailing Address - Phone:303-840-1323
Mailing Address - Fax:
Practice Address - Street 1:18700 PLAZA DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9494
Practice Address - Country:US
Practice Address - Phone:303-840-1323
Practice Address - Fax:303-416-4265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty