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

Mr. M. Kelly Cruise, ATC

Individual provider Athletic Trainer · NPI 1225479264

Mr. M. Kelly Cruise, ATC is an Athletic Trainer in Wooster, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2013
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3205 Shreve Rd
Wooster, OH 44691-4439
Phone: (330) 264-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 000522 (OH)

Record details

NPI number1225479264
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 6, 2013
Last updated in NPPESJuly 6, 2013

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