Cruise, M. Kelly

Cruise, M. Kelly is an sole proprietor health care provider with primary practice located at 3205 Shreve Rd , Wooster OH 44691-4439. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Cruise, M. Kelly can be contacted via phone (330) 264-2114.

Contact Information

Primary practice address
3205 Shreve Rd Wooster OH 44691-4439
Phone: (330) 264-2114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000522 Ohio

Profile Details

NPI number 1225479264
LBN Legal business name Cruise, M. Kelly
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2013
Last updated Jul 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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