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

Living Tree Medical Group

Organization Family Medicine Physician · NPI 1639754583

Living Tree Medical Group is a Family Medicine Physician in Logan, Utah. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1635 N 200 E
Logan, UT 84341-1913
Phone: (435) 565-6043
Fax: (435) 215-4420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1219 N 400 E, Logan, UT 84341-2321 — (435) 565-6043
  • 169 N Gateway Dr Ste 170, Providence, UT 84332-9855 — (435) 565-6043

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1639754583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kris Coleman — Coc · (435) 770-2131
NPI enumeratedMarch 12, 2021
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address1635 N 200 E, Logan, UT 84341-1913

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