Healthcare Provider Details
I. General information
NPI: 1003755505
Provider Name (Legal Business Name): PURE JOY NATUROPATHIC MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
235 SKAGIT WAY
LA CONNER WA
98257-9602
US
IV. Provider business mailing address
235 SKAGIT WAY
LA CONNER WA
98257-9602
US
V. Phone/Fax
- Phone: 360-502-8493
- Fax: 360-849-7598
- Phone: 360-502-8493
- Fax: 360-849-7598
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KATHRYN
KOZOWSKI
Title or Position: OWNER
Credential: ND, LAC
Phone: 360-510-4794