Healthcare Provider Details

I. General information

NPI: 1902762131
Provider Name (Legal Business Name): AXEL THOMAS BONDE PT, DPT, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S FRONTAGE RD W
VAIL CO
81657-5038
US

IV. Provider business mailing address

PO BOX 400
VAIL CO
81658-0400
US

V. Phone/Fax

Practice location:
  • Phone: 970-476-1225
  • Fax:
Mailing address:
  • Phone: 970-476-1225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0021031
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: