Once considered the cultural centre of Malappuram district, Kottakkal is now synonymous with Ayurveda. It is famous for Kottakkal Arya Vaidya Sala, a pioneering institution in Ayurvedic research and treatment, established by Dr. P. S. Varier in 1902. This quaint town is reminiscent of the various kinds of indigenous treatment and organic lifestyle that Indians have been following since time immemorial. Kottakkal is also culturally vibrant. P. S. Varier, a great patron of arts, was instrumental in setting up a Natya Sangham [dance troupe] in Kottakkal for the promotion of traditional art forms. P. S. V. Natya Sangham, as the institution is now called, has given birth to many Kathakali artistes.