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

Carl Haynes

Individual provider Physical Therapist · NPI 1114438322

Carl Haynes is a Physical Therapist in West Bend, Wisconsin. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
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Practice location Address checks out

2130 Continental Dr
West Bend, WI 53095-7904
Phone: (262) 338-0092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021798 (IL)

Record details

NPI number1114438322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2017
Last updated in NPPESOctober 14, 2017
Mailing address21 Thatcham Dr Apt 13, Champaign, IL 61820-2380

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