
Roots of Restoration
Functional Medicine • Holistic Care • Evidence-Based • Patient Empowerment
Kuleana Wellness Offers:
- Weight Management
- Integrated Nutritional Support
- Sexual Health
- Midlife Women's Health
- Thyroid Optimization
- DNA Analysis
We believe that true health is not merely the absence of disease, but a state of vibrant balance achieved through a deep understanding of the individual. Our functional approach moves beyond symptom management to identify the root causes of chronic conditions, utilizing evidence-based strategies that honor the body's innate wisdom.
At Kuleana Wellness, we empower you with the knowledge and tools necessary for lifelong wellness. By integrating advanced diagnostic techniques with personalized lifestyle interventions, we provide a comprehensive roadmap for balanced living that respects your unique biology and supports your long-term vitality.
NOTE: I am currently licensed in Arizona and Hawaii. You must be in one of those states or physically in Arizona for me to see you. I will let you know as soon as services are available in South Dakota.
The Mind Behind Kuleana Wellness

Aloha. I am Tami Mitzel, a dedicated Nurse Practitioner and founder of Kuleana Wellness. With a deep-rooted passion for true healing, I am thrilled to embark on this journey to help you achieve optimal wellness.
My journey in healthcare spans over two decades, beginning as an RN and progressing to an NP. Throughout my career, I witnessed the limitations of traditional, symptom-focused medicine. I found myself drawn to a more holistic approach - one that treats the whole person, not just the diagnosis. This passion led me to specialize in functional medicine, where I aim to uncover the root causes of chronic fatigue, hormonal imbalances, and inflammation.
“Kuleana” is a Hawaiian word often understood as one’s responsibility or privilege – a profound sense of duty to care for oneself, others, and the land. At Kuleana Wellness, I believe in empowering you with the tools to take responsibility for your health, allowing you to thrive, not just survive.
To further enhance your vitality, Kuleana Wellness focuses on exploring the latest advancements in integrative medicine. By incorporating evidence-based, targeted wellness strategies, the goal is to support your body’s natural recovery processes, metabolic health, and overall longevity.
This practice is dedicated to helping you navigate a journey toward a more vibrant, balanced life. Working together, we can create a personalized path to wellness that aligns with your unique health goals.
Tami Mitzel, FNP-C, CFNC