Ninemile Creek Access provides public fishing and paddling opportunities with multiple parking areas and amenities along the creek's middle section between Marcellus and Camillus.

The Amboy parking area includes a canoe/kayak launch with parking for 8 cars, while Route 174 offers four additional PFR parking areas; the creek is generally deep enough for boating from Munro Park in Camillus downstream to Onondaga Lake, though paddlers should be aware of hazards including low dams and overhangs.